ZOMBIE APPLICATION

Only 6 will become zombies.... will you survive?

* Indicates required field

Name *

First

Last

Email *

Address *

Line 1

Line 2

City

State

Zip Code

Country

date you became human *

what flavor are your brains? *

how long can you go without sleep? *

if you could eat one celebrity, who would it be? *

favorite nightly activity? *

If you got bit by a zombie, how long before you would tell anyone? *

How Zombie do you want to go? *

Submit

*zombification will take place September 9th....if you don't survive